| Esdl De Leon DDS Inc | |
|
1375 B St Hayward CA 94541-2917 | |
| (510) 582-8277 | |
| (510) 582-0305 |
| Full Name | Esdl De Leon DDS Inc |
|---|---|
| Speciality | Dentist |
| Location | 1375 B St, Hayward, California |
| Authorized Official Name and Position | Elmer Santos De Leon (PRESIDENT) |
| Authorized Official Contact | 5103962703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esdl De Leon DDS Inc 1375 B St Hayward CA 94541-2917 Ph: (510) 582-8277 | Esdl De Leon DDS Inc 1375 B St Hayward CA 94541-2917 Ph: (510) 582-8277 |
| NPI Number | 1720468929 |
|---|---|
| Provider Enumeration Date | 06/02/2015 |
| Last Update Date | 06/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720468929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55619 (California) | Primary |
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